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  5. DALE D SHAHAN DDS LTD.

DALE D SHAHAN DDS LTD.

Company Details

Entity Name: DALE D SHAHAN DDS LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 29 Sep 2009
Date of Dissolution: 09 Feb 2024
Company Number: CORP_67323653
File Number: 67323653
Type of Business: All Inclusive Purpose
Date Status Change: 09 Feb 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DALE D SHAHAN DDS LTD PROFIT SHARING PLAN 2023 271011943 2024-07-24 DALE D SHAHAN DDS LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2172280101
Plan sponsor’s address 2701 KINGS POINTE NW, SUITE 102, QUINCY, IL, 623057627

Signature of
Role Plan administrator
Date 2024-07-24
Name of individual signing DALE SHAHAN
Valid signature Filed with authorized/valid electronic signature
DALE D SHAHAN DDS LTD PROFIT SHARING PLAN 2022 271011943 2023-05-21 DALE D SHAHAN DDS LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2172280101
Plan sponsor’s address 636 HAMPSHIRE STREET, SUITE 102, QUINCY, IL, 62301

Signature of
Role Plan administrator
Date 2023-05-21
Name of individual signing DALE SHAHAN
Valid signature Filed with authorized/valid electronic signature
DALE D SHAHAN DDS LTD PROFIT SHARING PLAN 2021 271011943 2022-10-13 DALE D SHAHAN DDS LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2172280101
Plan sponsor’s address 636 HAMPSHIRE STREET, SUITE 102, QUINCY, IL, 62301

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing DALE SHAHAN
Valid signature Filed with authorized/valid electronic signature
DALE D SHAHAN DDS LTD PROFIT SHARING PLAN 2020 271011943 2021-05-26 DALE D SHAHAN DDS LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2172280101
Plan sponsor’s address 636 HAMPSHIRE STREET, SUITE 102, QUINCY, IL, 62301

Signature of
Role Plan administrator
Date 2021-05-26
Name of individual signing DALE SHAHAN
Valid signature Filed with authorized/valid electronic signature
DALE D SHAHAN DDS LTD PROFIT SHARING PLAN 2019 271011943 2020-06-24 DALE D SHAHAN DDS LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2172280101
Plan sponsor’s address 636 HAMPSHIRE STREET, SUITE 102, QUINCY, IL, 62301

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing DALE SHAHAN
Valid signature Filed with authorized/valid electronic signature
DALE D SHAHAN DDS LTD PROFIT SHARING PLAN 2018 271011943 2019-06-04 DALE D SHAHAN DDS LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2172280101
Plan sponsor’s address 636 HAMPSHIRE STREET, SUITE 102, QUINCY, IL, 62301

Signature of
Role Plan administrator
Date 2019-06-04
Name of individual signing DALE SHAHAN
Valid signature Filed with authorized/valid electronic signature
DALE D SHAHAN DDS LTD PROFIT SHARING PLAN 2017 271011943 2018-07-09 DALE D SHAHAN DDS LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2172280101
Plan sponsor’s address 636 HAMPSHIRE STREET, SUITE 102, QUINCY, IL, 62301

Signature of
Role Plan administrator
Date 2018-07-09
Name of individual signing DALE SHAHAN
Valid signature Filed with authorized/valid electronic signature
DALE D SHAHAN DDS LTD PROFIT SHARING PLAN 2016 271011943 2017-07-12 DALE D SHAHAN DDS LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2172280101
Plan sponsor’s address 636 HAMPSHIRE STREET, SUITE 102, QUINCY, IL, 62301

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing DALE SHAHAN
Valid signature Filed with authorized/valid electronic signature
DALE D SHAHAN DDS LTD PROFIT SHARING PLAN 2015 271011943 2016-07-12 DALE D SHAHAN DDS LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2172280101
Plan sponsor’s address 636 HAMPSHIRE STREET, SUITE 102, QUINCY, IL, 62301

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing DALE SHAHAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DALE D SHAHAN, 636 HAMPSHIRE STREET, #102, QUINCY, 62301, ADAMS Agent 2013-05-29

President

Name and Address Role
DALE D, SHAHAN, 636 HAMPSHIRE #102, QUINCY, 62301 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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